Chen JunLi, Cheng ZhengChao, Chen Jing, Qian Lingling, Wang Haoran, Liu YuWei
Department of Laboratory Medicine, Department of Microbiology, School of Medicine, Jiangsu University, Zhenjiang, Jiangsu 212003,PR China.
Central laboratory of Changshu Medicine Examination Institute, Changshu, Jiangsu 215500, PR China.
Virus Res. 2024 Dec;350:199486. doi: 10.1016/j.virusres.2024.199486. Epub 2024 Oct 23.
Norovirus, belonging to the Caliciviridae family, is a non-enveloped, positive-sense single-stranded RNA virus. It is widely acknowledged as a significant etiological agent responsible for non-bacterial acute gastroenteritis and considered a major cause thereof. Norovirus is primarily tranmitted via fecal-oral route, but can also be transmitted via airborne routes. Clinical manifestations often include symptoms associated with acute gastroenteritis, like nausea, vomiting, watery diarrhea, stomach cramps, and others. Due to the specific pathogenic mechanism of the virus, and genomic diversity, there are currently no preventive vaccines or effective antiviral drugs available for treating norovirus-induced acute gastroenteritis infections. The management of such infections mainly relies on oral rehydration therapy while prevention necessitates adherence to personal hygiene measures. The present paper discusses the nature, transmission route, clinical manifestations, immune response mechanism, and vaccine research of Norovirus. The objective of this review manuscript is to systematically gather, analyze, and summarize recent research and investigations on norovirus in order to enhance our understanding of its characteristics and pathogenesis. This not only facilitates subsequent researchers in acquiring a more expedited and comprehensive grasp of the existing knowledge about norovirus but also provides clearer directions and goals for future studies.
诺如病毒属于杯状病毒科,是一种无包膜的正链单链RNA病毒。它被广泛认为是引起非细菌性急性胃肠炎的重要病原体,也是该病的主要病因。诺如病毒主要通过粪口途径传播,但也可通过空气传播。临床表现通常包括与急性胃肠炎相关的症状,如恶心、呕吐、水样腹泻、胃痉挛等。由于该病毒特殊的致病机制和基因组多样性,目前尚无预防疫苗或有效的抗病毒药物可用于治疗诺如病毒引起的急性胃肠炎感染。此类感染的治疗主要依靠口服补液疗法,而预防则需要坚持个人卫生措施。本文讨论了诺如病毒的性质、传播途径、临床表现、免疫反应机制和疫苗研究。这篇综述稿件的目的是系统地收集、分析和总结近期关于诺如病毒的研究和调查,以增进我们对其特征和发病机制的了解。这不仅有助于后续研究人员更快、更全面地掌握有关诺如病毒的现有知识,也为未来的研究提供更清晰的方向和目标。